Organization Active NPI

Avera Marshall

Doing business as Avera Marshall Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Marshall, MN
National Provider Identifier
1962641936
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AVERA MARSHALL
Doing business as
Avera Marshall Specialty Clinic
Practice address
300 S Bruce St
Marshall, MN 56258-1934
Phone
(507) 532-9661
NPI assigned
Feb 13, 2009
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Streier
Title
Ceo
Phone
(507) 537-9160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

300 S Bruce St
Marshall, MN 56258-1934

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7293

Other names 1

  • Avera Marshall Specialty Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD, ND, AZ, OH5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20031106000219 MN Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 278 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tracy, MN; Springfield, MN; Dawson, MN; Redwood Falls, MN; Minneota, MN; Marshall, MN; Eden Prairie, MN; Canby, MN…
O20191211001152 SD Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 29 practitioners
Practice locations: Sioux Falls, SD
O20230331000340 ND Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND
O20230430000100 AZ Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Verde, AZ
O20230510001831 OH Part B Supplier - Clinic/Group Practice 5799695227 Receives reassigned benefits from 1 practitioner
Practice locations: Powell, OH

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory

Locations

900 E Main St
Marshall, MN 56258
Phone (507) 532-2247

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Tyler HospitalTyler, MN, CCN 241348 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Mar 1, 2016
Mar 1, 2016
Avera Tyler HospitalTyler, MN, CCN 24Z348 Hospital Operational/Managerial Control Mar 1, 2016
Avera Granite Falls Health CenterGranite Falls, MN, CCN 241343 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jan 1, 2020
Jan 1, 2020
Avera Granite Falls Health CenterGranite Falls, MN, CCN 24Z343 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jan 1, 2020
Jan 1, 2020
Avera Sunrise ManorTyler, MN, CCN 245357 Skilled nursing facility Operational/Managerial Control Feb 17, 2016
Avera Granite Falls Care CenterGranite Falls, MN, CCN 245243 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2020
Avera Medical Group TylerTyler, MN, CCN 243413 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Mar 1, 2016
Mar 1, 2016
Avera Medical Group TylerLake Benton, MN, CCN 243470 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Mar 1, 2016
Mar 1, 2016

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1962641936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-532-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "STREIER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-537-9160"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Marshall Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Marshall Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, MN

Sources for this page

Verify at the official NPI Registry.